Individual
JAVIER ALBERTO LOPEZ PUEBLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W. WISCONSIN AVE, HUB RADIOLOGY 3740-4, MILWAUKEE, WI 53226
(414) 955-1195
(414) 259-9290
Mailing address
9200 W. WISCONSIN AVE, HUB RADIOLOGY 3740-4, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34531
PR
2085R0202X
Diagnostic Radiology Physician
Primary
76043-23
WI
Other
Enumeration date
08/03/2017
Last updated
04/23/2024
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